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integrationacademy.ahrq.gov/products/playbooks/behavioral-health-and-primary-care/implementing-plan/leverage-technology-for-ibh
January 01, 2024 - AHRQ Initiatives
EvidenceNOW: Managing Unhealthy Alcohol Use
Opioid Initiative … Older Adult Opioid Initiative
Other HHS Initiatives
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psnet.ahrq.gov/perspective/conversation-kathleen-sanford-and-sue-schuelke-about-virtual-nursing
August 30, 2023 - Sue Schuelke: We embrace CHI’s SafetyFirst Initiative . … For example, a telehealth initiative was established to improve access to telehealth for high-risk
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psnet.ahrq.gov/perspective/virtual-nursing-improving-patient-care-and-meeting-workforce-challenges
August 30, 2023 - For example, a telehealth initiative was established to improve access to telehealth for high-risk … Sue Schuelke: We embrace CHI’s SafetyFirst Initiative .
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www.ahrq.gov/patient-safety/reports/engage/faq.html
April 01, 2018 - It is critical to keep your leaders informed with regular briefings of the impact of the initiative on
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effectivehealthcare.ahrq.gov/sites/default/files/mccormack-presentation.pdf
May 29, 2025 - It’s also appearing in the Million Hearts national initiative to prevent a
million
heart attacks and
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hcup-us.ahrq.gov/datainnovations/clinicaldata/AHRQFINALREPORTVHI.jsp
July 01, 2016 - Virginia Final Report
An official website of the Department of Health & Human Services
Search All AHRQ Websites
Careers
Contact Us
Espanol
FAQs
Email Updates
…
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hcup-us.ahrq.gov/datainnovations/clinicalcontentenhancementtoolkit/mn7.pdf
September 30, 2013 - Deliverables for Participating Hospitals
Deliverables for Participating Hospitals
MHA AHRQ CHF Comparative Effectiveness Project
October 19, 2011
1. Individualized POA Coding Reports – within 2 months of receipt of satisfactory data
2. Individualized risk-adjusted comparative clinical outcomes for selected…
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www.ahrq.gov/topics/medication.html
Topic: Medication
AHRQ offers patient education materials for healthcare professionals to reduce risks related to adverse drug events, including links to fact sheets, research, and government initiatives.
Blood Thinner Pills: Your Guide to Using Them Safely
Medicati…
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psnet.ahrq.gov/node/36077/psn-pdf
July 05, 2006 - Perinatal patient safety from the perspective of nurse
executives: a round table discussion.
July 5, 2006
Thorman KE; Capitulo KL; Dubow J; Hanold K; Noonan M; Wehmeyer J.
https://psnet.ahrq.gov/issue/perinatal-patient-safety-perspective-nurse-executives-round-table-discussion
The authors summarize a discussion be…
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psnet.ahrq.gov/node/41409/psn-pdf
November 26, 2014 - Do first opinions affect second opinions?
November 26, 2014
Vashitz G, Pliskin JS, Parmet Y, et al. Do First Opinions Affect Second Opinions? J Gen Intern Med.
2012;27(10). doi:10.1007/s11606-012-2056-y.
https://psnet.ahrq.gov/issue/do-first-opinions-affect-second-opinions
This study found some evidence that the r…
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psnet.ahrq.gov/node/36151/psn-pdf
September 29, 2010 - Communication and teamwork in patient care: how much
can we learn from aviation?
September 29, 2010
Lyndon A. Communication and teamwork in patient care: how much can we learn from aviation? J Obstet
Gynecol Neonatal Nurs. 2006;35(4):538-46.
https://psnet.ahrq.gov/issue/communication-and-teamwork-patient-care-how-…
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psnet.ahrq.gov/node/34975/psn-pdf
June 14, 2011 - Don't be fooled by the illusion of patient safety.
June 14, 2011
Spath P. Don't be fooled by the illusion of patient safety. Hosp Peer Rev. 2005;30(5):69-71.
https://psnet.ahrq.gov/issue/quality-cot-connection-dont-be-fooled-illusion-patient-safety
The author examines the pros and cons of using root cause analysis …
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psnet.ahrq.gov/node/42712/psn-pdf
October 02, 2017 - Improving patient safety through transparency.
October 2, 2017
Kachalia A. Improving patient safety through transparency. N Engl J Med. 2013;369(18):1677-9.
doi:10.1056/NEJMp1303960.
https://psnet.ahrq.gov/issue/improving-patient-safety-through-transparency
This commentary describes successful transparency initiat…
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psnet.ahrq.gov/node/36594/psn-pdf
May 27, 2011 - Right tech dose helps medicine go down.
May 27, 2011
Patton S. CIO Magazine. July 12, 2006.
https://psnet.ahrq.gov/issue/right-tech-dose-helps-medicine-go-down
The author describes some common mistakes involving the design and launch of computerized physician
order entry (CPOE) initiatives and provides sugges…
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psnet.ahrq.gov/node/39259/psn-pdf
June 10, 2018 - Survey shows recession has weakened patient safety net.
June 10, 2018
ISMP Medication Safety Alert! Acute care edition! January 14, 2010;15:1-4.
https://psnet.ahrq.gov/issue/survey-shows-recession-has-weakened-patient-safety-net
This newsletter article details findings of an ISMP survey on how the economy is affect…
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psnet.ahrq.gov/node/38537/psn-pdf
November 15, 2017 - Engaging as partners in patient safety: the experience of
librarians.
November 15, 2017
Zipperer L, Sykes J. Patient Saf Qual Healthc. March/April 2009;6:28-30,32-33.
https://psnet.ahrq.gov/issue/engaging-partners-patient-safety-experience-librarians
This survey explores the varied roles that medical librarians p…
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psnet.ahrq.gov/node/37099/psn-pdf
October 04, 2011 - Errors in the MRI evaluation of musculoskeletal tumors
and tumorlike lesions.
October 4, 2011
Heck RK, O'Malley AM, Kellum EL, et al. Errors in the MRI evaluation of musculoskeletal tumors and
tumorlike lesions. Clin Orthop Relat Res. 2007;459:28-33.
https://psnet.ahrq.gov/issue/errors-mri-evaluation-musculoskelet…
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psnet.ahrq.gov/node/40594/psn-pdf
July 06, 2011 - The pain of wrong site surgery.
July 6, 2011
Boodman SG. Washington Post. June 21, 2011:E1.
https://psnet.ahrq.gov/issue/pain-wrong-site-surgery
This newspaper article reports on a case of wrong-site surgery and explores initiatives to prevent such
errors, including the Universal Protocol and Partnership for Patie…
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psnet.ahrq.gov/node/34961/psn-pdf
June 22, 2009 - Improving hospital performance: culture change is not
the answer.
June 22, 2009
Leggat SG, Dwyer J. Improving hospital performance: culture change is not the answer. Healthc Q.
2005;8(2):60-6.
https://psnet.ahrq.gov/issue/improving-hospital-performance-culture-change-not-answer
The authors suggest that people man…
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psnet.ahrq.gov/node/867769/psn-pdf
March 12, 2025 - Lessons from Event Reports.
March 12, 2025
Lessons from Event Reports. Patient Safety Authority.
https://psnet.ahrq.gov/issue/lessons-event-reports
Small successes can inform and motivate actions leading to sustainable, evidence-based change. This
searchable collection of projects initiated in response to event re…